Nudging Guideline-concordant Antibiotic Prescribing Using Public Commitments
This trial is active, not recruiting.
|Condition||acute respiratory infections (aris)|
|Treatment||posted commitment letter|
|Sponsor||University of Southern California|
|Collaborator||National Institutes of Health (NIH)|
|Start date||February 2012|
|End date||May 2012|
|Trial size||14 participants|
|Trial identifier||NCT01767064, RC4AG039115, USCalifornia|
Inappropriate antibiotic prescribing for acute respiratory infections (ARIs) persists despite decades of intervention efforts. Negative outcomes of inappropriate antibiotics include increased costs of care, adverse drug reactions, and rising prevalence of antibiotic-resistant bacteria. To address this public health problem, we apply the principles of commitment and consistency in an effort to influence clinician decision-making through the implementation of a low-cost behavioral "nudge" in the form of a simple public commitment device. Clinicians were asked to post in their exam room a signed letter indicating their commitments to reducing inappropriate antibiotic use for ARIs. Our hypothesis is that clinicians displaying the poster-sized commitment letters will decrease their inappropriate antibiotic prescribing for ARIs as compared to clinicians in the control condition (with no posted letter).
|Intervention model||parallel assignment|
|Primary purpose||health services research|
Rate of inappropriate antibiotic prescribing for patients with acute respiratory infections
time frame: up to 12 months post intervention
Male or female participants at least 18 years old.
Inclusion Criteria: - Medical professionals licensed to provide care and prescribe medications (including antibiotics) - Treating adult patients (18 years of age and older) from 5 Los Angeles community clinics Exclusion Criteria: - none
|Official title||Nudging Guideline-concordant Antibiotic Prescribing Using Public Commitments|
|Principal investigator||Jason N Doctor, Ph.D.|
Call for more information